Counselor or therapist who orientation is some sort of combination of defined orientations (i.e. psychodynamic, interpersonal, cognitive, etc.) Not to be confused with integrative (which is the same thing, but tidier??).
How the hell did "consumer" become an advocacy term for people using mental health services?? Does that mean I was a producer? How is that empowering for anyone? Quick! Buy more! -- Save the economy, buy a Hummer (or whatever it is I want to attribute to Bush.)
Very irritating when used to refer to something that is currently popular or cutting edge. Especially irritating consider the academic and/or clinical setting in which I started overhearing it -- how they absorbed it or from where, dunno.
Okay - I actually think this is a fun word. But for me it is highly associated with grad school. My nerdy gift to my fellow predoc interns was a cross-word I made. The clue for the item was something like: not recognizing or able to identify one's emotions.
Excellent way to confuse clients that you work with... who says "affective?" A 25 cent word. It'll get you by, but be prepared - irritated professors will ask you to define it or distinguish it from mood and emotions. Then they'll put you on the spot for the different between flat and blunt affect. That is even better during rounds. And think, some of us are still just trying to keep affect (v.) from effect (n.).
This is a tricksy word in the counseling/therapy world for trainees. You have to listen, collect examples and derive what this term means because no one will tell you, and everyone will act like it is obvious. Have fun.